Bluebonnet Foot and Ankle Institute, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BLUEBONNET FOOT AND ANKLE INSTITUTE, LLC

Practice address

4131 Spicewood Springs Rd Ste K1
Austin, TX 78759-8600

Phone

(512) 394-5108

Fax

(512) 394-5109

NPI assigned

Apr 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Babak Kaviani, DPMNPI 1962698241

Title

President/Owner

Phone

(512) 394-5108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17766/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Babak Kaviani, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Austin, TX
  • NPI 1962698241
  Medicare reassignment Care Compare group NPD Authorized official
• Liza Chabokrow, DPM

  • Public Medicine Podiatrist
  • Austin, TX
  • NPI 1477733996
  Medicare reassignment Care Compare group NPD
• Kim Le Dao, DPM

  • Podiatrist
  • Austin, TX
  • NPI 1750722997
  Medicare reassignment Care Compare group NPD
• Jahnavi Devireddy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
  • NPI 1710547732
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1508353152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91674",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787091674",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE K1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598600",
            "telephone_number": "512-394-5108",
            "fax_number": "512-394-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET FOOT AND ANKLE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "KAVIANI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "512-394-5108",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Austin, TX
• Providers in Austin, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.